| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
328 |
178 |
$11K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
142 |
69 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,021 |
731 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
40 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
52 |
$3K |
| J1756 |
Injection, iron sucrose, 1 mg |
61 |
27 |
$2K |
| 82728 |
|
210 |
177 |
$2K |
| 83550 |
|
193 |
162 |
$2K |
| 96367 |
|
98 |
41 |
$1K |
| 83540 |
|
193 |
162 |
$1K |
| 80053 |
Comprehensive metabolic panel |
114 |
79 |
$1K |
| 82607 |
|
12 |
12 |
$144.00 |
| 82746 |
|
12 |
12 |
$137.52 |